OrganizationActive
Care on PLLC
NPI 1942819230 · Adult Health Nurse Practitioner · Phoenix, AZ
Provider details
- NPI number
- 1942819230
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Manju Krishnamenon, Manager(602) 466-8281
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7171 S 51 Ave
Phoenix, AZ 85339-2923
Phone: (623) 584-5100
Approximate (ZIP-level) locationGet directions
Mailing address
2030 W Baseline Rd Ste 182-746
Phoenix, AZ 85041-6574
Registry dates
- Enumerated
- 2020-07-23
- Last updated
- 2020-07-23
- Certified
- 2020-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.